PLATINUM MEDICAL MANAGEMENT, INC. (NPI# 1619204997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619204997 |
| Entity Type | Organization |
| Organization Name | PLATINUM MEDICAL MANAGEMENT, INC. |
| Practice Address |
21520 Pioneer Blvd Ste 203 Hawaiian Gardens CA 90716-2601 |
| Practice Telephone | 5624022818 |
| Practice Fax Number | 5624022545 |
| Mailing Telephone | 5624022818 |
| Mailing Fax Number | 5624022545 |
| Enumeration Date | 2009-11-07 |
| Last Update Date | 2009-11-07 |
| Authorized Official Name | CHRISTINA HERNANDEZ (PRESIDENT) |
| Authorized Official Telephone | 5624022818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
21520 PIONEER BLVD STE 203 |
| City | HAWAIIAN GARDENS |
| State | CA |
| Zip Code | 90716-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829151 | Edith Guadalupe Lagos Navarro | Marriage & Family Therapist | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2019-09-06 |
| 1891276234 | Yesenia Chavezgonzalez | Rehabilitation Practitioner | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2018-08-23 |
| 1497184139 | Fabian Barajas Gonzalez | Rehabilitation Practitioner | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2013-11-04 |
| 1063708675 | Platinum Medical Group, Inc. | Contractor | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2011-06-22 |
| 1760776017 | Onyx Management Group, Inc. | Contractor | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2011-06-03 |
| 1073805784 | Summit Medical | Contractor | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2011-05-12 |
| 1083946180 | Platinum Medical Group | Specialist | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2010-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053708081 | Pathway Medical Group | Specialist | 21500 S. Pioneer Blve Suite 210, Hawaiian Gardens, CA 90716 | 2015-04-16 |
| 1790032605 | Nancy Perez | Registered Nurse | 22009 Verne Ave, Hawaiian Gardens, CA 90716 | 2012-08-09 |
| 1194098210 | Ismael B. Nacino Md Inc | Anesthesiology | 21530 Pioneer Bl, Hawaiian Garden, CA 90716 | 2012-02-21 |
| 1326248832 | William Martin Wright | Counselor | 21520 S. Pioneer Blvd., Hawaiian Gardens, CA 90716 | 2007-07-23 |
| 1134341514 | Girish H Rami | Dentist | 12144 E Carson St, # E, Hawaiian Gardens, CA 90716 | 2007-05-03 |
| 1578684080 | Keun Chan Lee | Dentist | 12531 E Carson St, Hawaiian Gardens, CA 90716 | 2007-04-02 |
| 1154451995 | Consuelo Ramirez | Social Worker | 21520 S. Pioneer Bvld., Suite 110, Hawaiian Gardens, CA 90716 | 2007-03-07 |
| 1326102013 | Hyun Chan Lee | Dentist | 12137 E Carson St, Hawaiian Gardens, CA 90716 | 2006-12-20 |
| 1871656488 | Elena G Ezpeleta | Anesthesiology | 21530 South Pioneer Blvd, Hawaiian Gardens, CA 90716 | 2006-12-18 |
| 1144388687 | Jong Chul Han | Dentist | 11846 E Carson St, Hawaiian Gardens, CA 90716 | 2006-12-05 |
| Find all providers in zip 90716 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134508039 | Michael Larsen | Radiologic Technologist | 11019 Dove Tail Ter, San Diego, CA 92128-4019 | 2015-05-25 |
| 1790918852 | Derrik Espinoza Asher | Radiologic Technologist | 6251 Adobe Cir, Irvine, CA 92617-5105 | 2009-08-24 |
| 1750534301 | La Mri Cener Inc | Radiologic Technologist | 1539 Beverly Blvd, Los Angeles, CA 90026-5704 | 2008-10-28 |
| 1073798237 | Martin Andrew Reina | Radiologic Technologist | 363 E Badillo St, Covina, CA 91723-2208 | 2008-01-07 |
| 1629292297 | Valley Radiologist Medical Associates | Radiologic Technologist | 35 Baywood Ave # 2, San Mateo, CA 94402-1516 | 2007-04-12 |
| 1023189560 | Advanced Radiology Healthcare, LLC | Radiologic Technologist | 3885 Cochran St Ste J, Pmb 347, Simi Valley, CA 93063-2367 | 2006-11-13 |
| 1780609644 | Open Advantage Mri IIi, Inc | Radiologic Technologist | 10 Pointe Dr, #110, Brea, CA 92821-3690 | 2006-07-13 |
| 1346265113 | Open Advantage Mri V | Radiologic Technologist | 3115 W March Ln, Suite 110, Stockton, CA 95219-2372 | 2006-07-13 |
| 1336164284 | Open Advantage Mri II | Radiologic Technologist | 600 N Tustin Ave, Suite 100, Santa Ana, CA 92705-3736 | 2006-07-13 |
| 1043243702 | San Jose Imaging Center | Radiologic Technologist | 361 South Monroe St, San Jose, CA 95128 | 2006-07-08 |
| Find all providers with the same taxonomy | ||||
| City | HAWAIIAN GARDENS |
| Zip Code | 90716 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.